一个多医院调查当前的实践,以支持从败血症恢复
Rachel K Hechtman1, Jennifer Cano2, Taylor Whittington2
1Department of Medicine, University of Michigan, Ann Arbor, MI.
Critical care explorations
|August 28, 2023
概括
败血症恢复实践显示采用变量,社会支持和药物管理经常使用,但身体和情绪支持很少实施. 需要进一步的研究来改善败血症恢复护理.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
- 患者恢复研究 患者恢复研究
背景情况:
- 败血症幸存者面临长期发病率和功能衰退的重大风险.
- 已建立的最佳实践存在,以支持败血症恢复,但它们的实施率在很大程度上是未知的.
- 评估这些恢复实践的当前使用对于改善患者的治疗结果至关重要.
研究的目的:
- 评估目前在各医院实施推的败血症恢复实践的程度.
- 根据医院败血症生存率,COVID-19状态和病例数量来确定实践采用的变化.
主要方法:
- 在26家退伍军人事务医院的住院和门诊临床医生领导人进行了电子调查.
- 该调查评估了使用四点利克尔特尺度用于COVID相关和非COVID相关败血症恢复的最佳实践的频率.
- 医院根据高风险与低风险调整后的90天败血症生存率进行分类.
主要成果:
- 败血症恢复实践的采用率差异很大,社会支持 (80.7%) 和药物管理 (69.8%) 经常被报告为"总是/几乎总是"实施.
- 身体恢复 (22.5%) 和情绪支持 (0.0%) 领域的实施率明显较低.
- 与生存率较低的医院相比,高生存率的医院对新的症状/限制进行了更频繁的查.
结论:
- 这项研究揭示了不同护理领域对败血症恢复实践的不一致采用.
- 了解变量实施背后的原因对于未来的质量改进举措至关重要.
- 需要有针对性的策略来加强采用未充分利用的恢复实践,特别是情绪支持.
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